Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP MICHAEL CUSACK, OTR/L
ActivePHILIP MICHAEL CUSACK, OTR/L is a Pediatric Occupational Therapist healthcare provider located in ROSEBURG, Oregon. NPI 1457115719 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · ROSEBURG, OR
Registration Details
- NPI Number
- 1457115719
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2024 (2.3263485513304 yrs)
- Last Updated
- Feb 7, 2024
- License
-
986755 (OR)
Practice Information
- Address
-
1871 NE STEPHENS STROSEBURG, OR, 974701433Browse OR providers · Browse ZIP 97470
- Phone
- 5414404794
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.